3 min after witnessing a cardiac arrest, one memeber of your team inserts an ET tube even
as any other plays continuous chest comressions. During next bentilation, you be aware the
presence of a wavefom at the capnogrophy screen and a PETCO2 of 8 mm Hg. What is the
significance of this finding? - ANS-Chest compressions won't be effective.
A forty nine y/ofmaile arrives within the ER with persistant epigastric ache. She has been
taking antacids PO for the past 6 hours due to the fact she she had heartburn. BP is
118/seventy two, coronary heart fee is 92/min, resp. Charge is 14 non-worked and O2 sat is
96%. What is the maximum appropriate subsequent motion? - ANS-Obtain a 12 lead ECG.
A 62 y/o male pt. Inside the ER says his coronary heart is thrashing rapid. No chest ache or
SOB. BP is 142/ninety eight, pulse charge is 2 hundred/min, reps charge is 14/min, O2 sats
are 95 at room air. What should be the subsequent evaluation? - ANS-Obtain a 12 lead
ECG.
A 68 y/o female pt. Skilled a unexpected onset of proper arm weakness. BP is a hundred
and forty/ninety, pulse is seventy eight/min, resp fee is non-labored 14/min, 02 sat is ninety
seven%. Lead 2 inside the ECG shows a sinus rythm. What might be your subsequent
action? - ANS-Cinncinati Stroke Scale
A monitored pt. Within the ICU evolved a suddent onset of slim complicated tach at a rate of
220/min. The pt's BP is 128/58, the PETCO2 is 38mm Hg, and the O2 sat is 98%. There is
an EJ set up for vascular access. The pt. Denies taking any vasodialators. A 12 lead
suggests no ischemia or infarction. Vagal manuevers are ineffective. What is the following
intervention? - ANS-Adenosine 12mg IV
A pt. Has an onset of dizziness. The pt.S coronary heart price is a hundred and eighty, BP is
one hundred ten/70, resp. Rate is 18, O2 sat is ninety eight%. This is a reg narrow
complicated tach rythm. What is the following intervention? - ANS-Vagal manuever.
A pt. In respiratory failure becomes apneic but contineues to have a strong pulse. The heart
charge is losing paridly and now shows a sinus brady charge at 30/min. What intervention
has the very best precedence? - ANS-Simple airway manuevers and assisted ventilations.
A pt. Gives to the ER with a new onset of dizziness and fatugue. Onexamination, the pt's
heart rate is 35 beats/min, BP is 70/50, resp. Rate is 22 consistent with min, O2 sat is 95%.
What is the appropriate 1st medication? - ANS-Atropine 0.5mg
A pt. Affords to the ER with dizziness and SOB with a sinus brady of forty/min. The initial
atropine dose became useless and your monitor does no longer offer TCP. What is the
correct dose of Dopamine for this pt? - ANS-2-10mcg/kg/min